Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple documented concerns and observations of pest activity affecting both the kitchen and resident areas. Pest control invoices and state survey agency complaints revealed ongoing issues with cockroaches in the kitchen, including German and oriental roaches, as well as structural deficiencies such as loose wall coverings, cracked tiles, gaps between baseboards and walls, and a missing door seal that allowed light and pests to enter. Despite pest control services and repeated identification of these issues, the necessary repairs to prevent pest entry and harboring were not completed. Staff interviews confirmed the persistence of these problems, and the facility was without a Maintenance Director at the time, further delaying resolution. Additionally, a resident with a colostomy bag who was bedbound reported a significant gnat infestation in his room, which was confirmed by both a medical provider and facility staff. Observations documented the presence of multiple gnats on the resident's pillow, bedside table, and wall, with the issue persisting over at least two weeks. Staff and residents reported ongoing problems with both gnats and roaches throughout the building, particularly in the kitchen and the affected resident's room. The facility's pest control policy required regular monthly treatments and prompt response to pest problems, but these measures were not effectively implemented, resulting in continued pest presence.